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A child presented with bilateral congenital constriction ring in lower extremity: a case report
Richa Jaiman1, Ajay N Gangopadhyay, Dinesh K Gupta
1Department of Surgery, SN Medical College, Agra-282005, Uttar Pradesh, India. richajaiman@rediffmail.com
Cases Journal
|October 16, 2009
Summary
Congenital constriction rings of the lower extremity are rare, potentially leading to limb auto-amputation. Early diagnosis and Z-plasty management, followed by physiotherapy, significantly improve quality of life for affected children.
Area of Science:
- Pediatric Orthopedics
- Congenital Malformations
Background:
- Congenital constriction rings of the lower extremity are exceptionally rare, with limited reported cases.
- These bands can range from superficial skin lesions to deep structural involvement, posing risks of gangrene or auto-amputation.
Observation:
- A case of bilateral congenital constriction rings in a 4-year-old child is presented.
- The child had no other associated congenital anomalies.
Findings:
- The patient was successfully managed with Z-plasty.
- This surgical intervention, combined with physiotherapy, led to improved quality of life.
Implications:
- Early diagnosis and intervention are crucial for managing congenital constriction rings in children.
- Timely surgical management, potentially in stages, can prevent severe complications like auto-amputation and enhance functional outcomes.